Healthcare Provider Details

I. General information

NPI: 1932963824
Provider Name (Legal Business Name): SANDRA FERRIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 N MARKET ST STE 200
WILMINGTON DE
19801-3097
US

IV. Provider business mailing address

1392 HICKORY HILL RD
CHADDS FORD PA
19317-9367
US

V. Phone/Fax

Practice location:
  • Phone: 877-345-5300
  • Fax:
Mailing address:
  • Phone: 302-535-5396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70102613-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: